Active NPI
Gregory M Lowenberg, DC
- Chiropractor
- West Fargo, ND
National Provider Identifier
1790758456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1071
- Practice address
- 1420 9TH St E Ste 413
West Fargo, ND 58078-3381 - Phone
- (701) 532-1263
- Fax
- (701) 532-1341
- NPI assigned
- Feb 10, 2006
- Last updated
- Feb 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1071 | ND | Primary |
Addresses
Primary practice location
1420 9TH St E Ste 413
West Fargo, ND 58078-3381
Mailing address
1420 9TH St E Ste 413
West Fargo, ND 58078-3381
Phone (701) 532-1263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100107000764 | SD | Practitioner - Chiropractic | 4486795820 | Practice locations: Rapid City, SD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Lowenberg, DC, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1790758456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 9TH ST E STE 413",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580783381",
"telephone_number": "701-532-1263",
"fax_number": "701-532-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 9TH ST E STE 413",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580783381",
"telephone_number": "701-532-1263",
"fax_number": "701-532-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWENBERG",
"first_name": "GREGORY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "1071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.